CHPN Grief and Bereavement Care 3

Question 1

What characterizes 'disenfranchised grief,' a concept developed by Kenneth Doka?

Accepted Answer

Grief that is not openly acknowledged, publicly mourned, or socially supported because the loss is not recognized as significant by others

Answer

Grief that is excessively prolonged beyond socially accepted timeframes

Answer

Grief experienced specifically after a death by suicide

Answer

Grief limited to immediate family members and not extended to friends or coworkers

Question 2

Which factor is most associated with better bereavement outcomes for family caregivers following a hospice patient's death?

Accepted Answer

Strong social support and a sense of having provided good care during the illness

Answer

Complete absence of any prior relationship conflicts with the deceased

Answer

Rapid return to all normal activities within two to three weeks of the death

Answer

Actively avoiding discussion of the deceased to facilitate moving forward

Question 3

A bereaved spouse states they can still hear their deceased partner's voice calling their name at home. How should the nurse interpret this experience?

Accepted Answer

This is a normal grief experience commonly reported by bereaved individuals and not indicative of psychopathology

Answer

This is a clear sign of psychosis requiring immediate psychiatric referral and evaluation

Answer

This indicates the spouse is at high imminent risk for suicide and requires crisis intervention

Answer

This is strong evidence of complicated grief disorder requiring specialized treatment

Question 4

What is 'resilience' in the context of bereavement research and clinical practice?

Accepted Answer

The ability to maintain relatively stable psychological and physical functioning while experiencing grief

Answer

The complete absence of grief symptoms following a significant loss

Answer

Returning to all pre-loss functioning levels within two weeks of the death

Answer

Suppressing grief emotions in order to remain productive and functional at work

Question 5

Which of the following best describes Rubin's 'two-track model of bereavement'?

Accepted Answer

The bereaved simultaneously manage functional adaptation (Track I) and the ongoing relational bond with the deceased (Track II)

Answer

Grief proceeds on two separate tracks for spousal bereavement versus parental bereavement

Answer

The first track addresses emotional grief while the second track addresses physical health impacts

Answer

Early grief follows one predictable track while later grief transitions to a different track

Question 6

When conducting a bereavement risk assessment, which family member would be considered HIGHEST risk for complicated grief?

Accepted Answer

A 30-year-old with no social support whose spouse died suddenly and who has a prior history of depression

Answer

A 65-year-old widow with strong family support whose husband died after a year-long illness with good symptom control

Answer

A 45-year-old who lost a parent to cancer after two years of illness and has a supportive spouse

Answer

A 70-year-old with a close-knit religious community whose sibling died peacefully in an inpatient hospice

Question 7

What is the primary goal of a hospice bereavement support group?

Accepted Answer

To create a shared community where bereaved individuals can process grief and reduce isolation through peer support

Answer

To provide legal and financial advice about estate matters and probate following the death

Answer

To discourage discussion of the deceased in order to promote healthy forward movement

Answer

To exclusively monitor participants for suicidal ideation and refer to crisis services as needed